Individual
KAYLA GRACE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PIKE ST, WILLIAMSON, WV 25661-3528
(681) 357-5500
Mailing address
424 PIKE ST, WILLIAMSON, WV 25661-3528
(681) 357-5500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
239220
WV
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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